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Individual

RALPH BENJAMIN HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7703 SERUM AVE, RALSTON, NE 68127-4281
(402) 991-8824
(402) 991-3486
Mailing address
20023 MARCY ST, ELKHORN, NE 68022-6469
(601) 807-3951

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
998
NE

Other

Enumeration date
10/11/2018
Last updated
10/11/2018
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